FDA Adverse Event Summary report: N

BEAMPATH BP-LE

MDR report key: 2875280 · Received November 23, 2012

Report

Report Number
2875280
Date Received
November 23, 2012
Date of Event
November 19, 2012
Report Date
November 19, 2012
Manufacturer
OMNIGUIDE, INC.
Product Code
GEX
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

WHEN THE LASER WAS IN USE, THE LASER FIBER BLEW AND THEN DID NOT WORK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BEAMPATH BP-LE POWERED LASER SURGICAL INSTRUMENT, CO2 LASER FIBER GEX OMNIGUIDE, INC. BEAMPATH BP-LE LA120925BA-P1

Patients

Seq Age Sex Outcome Treatment
1 56 YR